The WRAP® is a self-management and recovery system that helps individuals identify what makes them well and develop an action plan to stay well. It involves creating a WRAP® booklet with sections on developing a wellness toolbox, daily maintenance plans, identifying triggers and early warning signs, crisis planning, and post-crisis plans. The goal is for individuals to be active participants in their care by creating customized wellness tools and plans to manage their mental health in their daily lives and during crises.

1. WELLNESS RECOVERY ACTION
PLAN®
WRAP®

2. What is WRAP®?
 Purpose: assist individuals in identifying what
makes them well and create a culture that
encourages them to be active participants in their
care
 How: creating and utilizing “Wellness Tools”
 Each client creates their own WRAP® Booklet that fits
in with their practical day to day living with the intent
of getting them and helping them stay well
 WRAP® is NOT replacement for traditional
treatment it IS a compliment to other treatment
options

3. Pillars of WRAP®
Hope
Personal Responsibility
Self Advocacy
Support
Education

4. I. Developing a Wellness Toolbox
II. Daily Maintenance Plan
III. Triggers
IV. Early Warning Signs
V. When Things are Breaking Down
VI. Crisis Planning
VII. Post Crisis Plan
WRAP ® Worksheet

5. What is the worksheet for?
WHAT IT IS
 Guide for discussions
 Creation of an action
plan relevant to the
patient
 Compliment for
treatment continuing
after discharge
WHAT IT IS NOT
 Script
 Fill in the blank
worksheet
 Substitution for
treatment (medication,
psychotherapy)

6. I. Developing a Wellness Toolbox
 Wellness Toolbox: list of things you have done in
the past, or could do, to help you feel and stay well
 In practice
 “When was the last time you felt happy?”
 “What was your routine like during that time?”/
“What was happening in your life?”
 “Describe yourself when you were at your happiest.”

7. II. Daily Maintenance Plan
 Writing things down to serve as daily reminders
 A) What I’m like when I’m feeling well
 In practice: “When you are at your best, describe yourself?”
/ “How would others describe you?” / “That happy moment
we spoke about earlier, tell me more about how you felt
during that time?”
 B) What I need to do daily to maintain my wellness
 In practice: “What sorts of things do you need in your daily
routine to continue to be well?” / “What kinds of tings do
you do daily to stay well?”
 C) Things I should consider doing to maintain my
wellness/recovery
 In practice: “What are some things that you think would
help other people feel well?” / “What are some new things
you could try?” / “What would your family/friends

8. III. Triggers
 Triggers: external events that may be
uncomfortable
 A) Identifying triggers
 In practice: Explain the importance of identifying
triggers
 “When are some times where you feel uncomfortable?” /
“Anything in particular relating to work/family/physical
ailments?”
 B) Triggers action plan (coping skills)
 In practice: “When you begin to feel uncomfortable,
what are some things you can do?” / “Who can you
turn to?... What can they do for you?”

9. IV. Early Warning Signs
 Early warning signs: internal feelings that may be
unrelated to stressors
 May experience these even if the trigger action plan is
followed
 A) Identifying early warning signs
 In practice: “How do you feel physically when you
begin to not feel well?” / “How do you know things are
not right?”
 B) Early warning signs action plan
 In practice: “What can you do when you begin to
notice these feelings?” / “How can you use your

10. V. When Things are Breaking
Down
 Even with best efforts, you may continue to feel worse
and need to take steps to prevent crisis
 A) Signs which indicate things are breaking down
 In practice: “When you’ve tried your coping skills and they
do not need to work, what is going on in your life/ how are
you feeling?”
 “Are you turning to substances, isolating, engaging in criminal
activity, etc?”
 B) Action plan for when things are breaking down
 In practice: “What are things you can do during this
time?”/”Who can you reach out to?... What can they do for
you?”

11. VI. Crisis Planning
 Crisis planning: a time when someone else will need
to take over responsibility for you care
 A) Supporters
 In practice: “Who would you want to be responsible for you
in the event you cannot care for yourself?”
 Encourage the patient to share their WRAP ® with these
individuals (i.e. family meetings)
 B) Medication
 In practice: Have the patient, if able, fill this in with lists of
medications and prescribers
 C) Treatments
 In practice: “What types of treatments inpatient, outpatient,
partial hospital, etc help you feel better?” / “When should
these treatments be used?”

12. VI. Crisis Plan continued
 D) Home/Community Care/Respite Care
 In practice: “If leaving home or the community is not
an option for treatment, what can be done at home?” /
“Who can support you and care for you?”
 Ensure all parties are informed
 E) Treatment Facilities
 In practice: If able, have the patient list which
treatment facilities they prefer
 Not all patients will be able to identify

13. VII. Post Crisis Plan
 Always changing, revisit after each crisis
 Daily activities will change from time of crisis to time of
wellness
 A) How I would like to feel when I have recovered
from this crisis?
 In practice: “After your crisis, what will you be doing/ how
will you feel?”
 This may be similar to I. Daily Maintenance Plan
 B) Timetable for resuming responsibilities
 In practice: “Things that other people would have been
doing for you during that time of crisis, when can you get
back to doing these things?” / “What things do you need to
do right away, what things can wait?”

14. Examples- putting into practice
 Case management meetings
 Provide increased structure to group/individual CM
meetings
 Works across the lifespan
 In groups vs. individual
 Can learn from others and group as well as individually
 Review during discharge and family/provider meetings
 In place for when patient returns to community
 Safety crisis plan vs. WRAP®
 WRAP – work on during stay
 Safety crisis – one component

15. Comments/Concerns?
Room for improvement?
How do you see this being implemented?
Questions/Discussion